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Idaho rates for HCPCS L5814

Addition Endoskeletal Knee-Shin System Polycentric Hydraulic Swing Phase Control Mechanical Stance Phase Lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,661.45 / $3,678.49 / $3,678.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,744.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $2,667.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.96 / $3,082.46 / $4,375.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,938.37 / $4,157.17 / $4,375.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,229.46 / $3,846.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,831.76 / $4,273.41 / $6,410.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,063.18 / $3,172.83 / $4,594.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,847.44 / $1,998.13 / $3,169.03